Teaching An Alcohol Intervention To Pediatric ER Staff

描述（由申请人提供）：在美国，据估计，每年使用酒精的总成本为1000亿美元。在青少年中，它是伤害和死亡的主要原因。对成年人和一名年龄较大的青少年进行的大量研究表明，短期干预在减少饮酒和相关伤害方面具有疗效。然而，在所有这些研究中，干预措施都是由一个研究团队管理的，而不是在医疗环境中工作的临床工作人员。由于医疗机构不太可能专门雇用额外的人员来执行这些干预措施，一些重要的问题仍然没有答案。这些干预措施能否从研究环境转化为“真实的世界”的临床环境？医务人员是否能够并将实施此类干预措施？如果由这些工作人员管理，这些干预措施是否有效？ 急诊科（艾德）是调查这个问题的理想场所。许多在艾德就诊的患者都面临酒精相关问题的高风险。艾德通常是这些患者的唯一医疗保健来源。此外，艾德就诊和/或损伤本身可能是在其他医疗环境中找不到的独特的“可教导时刻”。这样的伤害或访问可能是改变酒精相关行为的强大动力。 研究对象将是儿科ED的医生和护士。工作人员将评估目前的态度，理解和实践有关的酒精问题的治疗。还将确定学习简短干预措施（BI）的潜在障碍。将制定教育干预措施，并对艾德工作人员进行管理，教他们酒精BI。干预后，将重新测试艾德工作人员对酒精BI的了解，并监测他们管理BI的频率以及他们遵守BI原则的程度。所获得的知识将用于制定未来的教育干预措施，并最终测试由医务人员管理的酒精Brs的疗效。 该提案包括一个5年培训计划，以确保成功完成研究方案。 培训建议包括：成瘾理论研讨会，期刊俱乐部，研究和赠款写作研讨会，生物统计学，每周2-3小时的指导，实地经验，数据分析，手稿准备和提交。

DESCRIPTION (provided by applicant): In the United States it is estimated that the overall annual cost of alcohol use is $100 billion. In adolescents, it is a leading cause of injuries and death. Numerous studies of adults and one of older adolescents have demonstrated the efficacy of brief interventions in reducing alcohol consumption and related injuries. In all of these studies however, interventions were administered by a research team, not the clinical staff who worked in the medical settings. As medical institutions are unlikely to hire extra personnel specifically to perform these interventions, important questions remain unanswered. Can these interventions be translated from the research setting into "real world" clinical settings? Can and will medical staff administer such interventions? Are these interventions effective when administered by such staff? An Emergency Department (ED) is an ideal setting to investigate this question. Many patients seen in ED's are at high risk for alcohol related problems. The ED is often the exclusive source of health care for these patients. Additionally, an ED visit and/or an injury itself may be unique "teachable moment" not found in other medical settings. Such an injury or visit may be a powerful motivation to change alcohol related behaviors. Study subjects will be the physicians and nurses of a Pediatric ED. Staff will be assessed for current attitudes, understanding, and practices regarding treatment of alcohol problems. Potential barriers to learning brief interventions (BI) will also be identified. An educational intervention will be developed and administered to ED staff, to teach them an alcohol BI. Post-intervention, ED staff will be retested for their knowledge of alcohol Bl's, as well as monitored for how often they administer the BI and how well they adhere to BI principles. The knowledge gained will be used to develop future educational interventions and ultimately to test the efficacy of alcohol Brs administered by medical personnel. This proposal includes a 5 year training plan to ensure successful completion of the research protocol. The training proposal includes: seminars in addiction theory, journal club, research and grant writing seminars, biostatistics, 2-3 hours per week of mentoring, field experiences, data analysis, and manuscript preparation and submission.